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彩色多普勒在门静脉穿刺注药治疗肝癌中的应用
引用本文:罗荷明 黎锦芳. 彩色多普勒在门静脉穿刺注药治疗肝癌中的应用[J]. 中华超声影像学杂志, 1997, 6(6): 299-301
作者姓名:罗荷明 黎锦芳
作者单位:中山医科大学孙逸仙纪念医院超声科 510120广州(罗葆明,黎锦芳),中山医科大学孙逸仙纪念医院外科 510120广州(陈亚进,王捷)
摘    要:本文探讨了彩色多普勒在门静脉穿刺注药治疗肝癌中的应用价值。对15例原发性肝癌和1例继发性肝癌患者门静脉穿刺注药前后及注药过程中彩色多普勒的应用表明;注药前彩色多普勒对肝肿瘤病灶及门脉血流动力学的检查有助于本治疗适应证的选择;注药过程中的彩色多普勒应用,有助于提高静脉穿刺注药的准确性和观察药液在肝内的弥散;注药后彩色多普勒检查及其穿刺活检有助于对肝癌疗效的观察;超声引导下的门静脉穿刺导向化疗,作为肝癌综合治疗的方法之一,值得进一步探讨。

关 键 词:肝肿瘤  门静脉  介入治疗  彩色多普勒血流显像

Application of Color Doppler Flow Imaging in Portal Vein Chemotherapy by Ultrasound Guided Percutaneous Transhepatic Portal Injection
Abstract:To evaluate the role of color Doppler flow imaging in the portal vein chemotherapy by ultrasound guided percutaneous transhepatic portal injection, the blood supply of liver tumor and portal hemodynamics were studied in 15 patients with primary hepatic carcinoma and one patient with secondary hepatic carcinoma. The continuous wave in the lesion and forward continuous wave in the portal vein seen by pulsed Doppler in nine cases, were indications for this therapeutic method. The distribution of the drugs in the liver could be observed by color Doppler flow imaging when injection was being done. The therapeutic efficacy of portal vein chemotherapy in liver tumor may be evaluated by color Doppler folw imaging and puncture biopsy.
Keywords:liver neoplasm  portal vein  interventional treatment  color Doppler flow imaging
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